Laserfiche WebLink
• <br />PUBLIC HEALTH SERVICES SAN <br />ENVIRONMENTAL HEALTH <br />304 E. Weber Ave., Third Floor, <br />(209) 468-3420 <br />• <br />JOAQUIN COUNTY <br />DIVISION <br />Stockton, CA 95202 <br />UNI <br />(IRGROUSD STORAGE TANI (UST)ROGRAM INSPECTION REPORT <br />Facility Na!+ ► Program ID# <br />Facility Address t .1 ✓' Citr�w <br />Zip <br />UST: Dual Wall Single Wall OVERFILL: Audible Visual_ Mechanical <br />PIPING SYSTEM: Dual wall�Single wall Suction�Pressure Gravity <br />DOES THE LEAK DETECTION SYSTEM meet 23CCR 2636(8) requirements? YES NO� <br />VIOLATIONS <br />u <br />i�•.r <br />It <br />UST GENERAL REQUIREMENTS <br />Permit to Operate [H&SC 252841 <br />Forms A & B Current LH&SC 25284 c <br />Monitoring/Maintenance Records r23CCR 2712 b <br />./ <br />Monitoring Records Available 23CCR 2712 <br />Monitoring Plan [23CCR 2632 (d) (1) ] <br />Response Plan r23CCR 2632(d)(2)1 <br />Unauthorized Releases Reported [H&SC 252951 <br />Monitoring Equipment Annual Cert. 23CCR 2630 <br />ver spill on ainer <br />Cathodic Protection 23CCR 2635 a 2 A <br />New USTs Monitored Continuously [23CCR 26301 <br />MANUAL INVENTORY RECONCILIATION (MIR) <br />Meters rated r23CCR 2 4 <br />Gauging Stink in 1�8 Inches r23rrR 2r,46(c)(1)(R)l <br />Monthly Variations Calculated [23CCR 2646(d)] <br />Ex -variation Procedure Followed L23CCR 2646(e)] <br />STATISTICAL INVENTORY RECONCILIATION (SIR) <br />Inconclusive Procedure Followed [23CCR 2646.1(d)] <br />UST Integrity Test Every Two Years 23CCR 2646.1 <br />Annual SIR Report [23CCR 2646.1(j)] <br />Daily is ea ing c <br />AUTOMATIC GAUGING (ATG) <br />Monthly ATG Results [23CCR 2643(b)(1)] <br />Annual Summary -17e -Port <br />MANUAL UST TANK GAUGING (MTG) <br />Tank Gauging Weekly [23CCR 2645(b)] <br />Annual Tankn egri y lest <br />Ianx Gauging Procedure kollowea <br />Dailyu n Piping monitoring r2 R ADD.III <br />Piping Tightness Test r23CCR 2643 b c)d <br />Gravity Piping Tested Every 2 Years [23CCR 2643(e)] <br />Monthly Line Test L23CCR 2643 c 2 <br />Annual e r <br />TANK REMOVAL <br />Permit o Close or Cease Operation H&SC 25298 <br />Remov C osed o Temporar y Closed 23CCR 2670 <br />R E H S J4 <br />INSPECTION DATE/TYPE : <br />WI <br />L <br />1 N <br />RECEIVED BY: <br />_PHONE : <br />_��37 <br />Revised Date 7/15/97 23 CCR UST Regs May 5, 1994 PAGE of <br />PHS 260 (4/96) <br />